https://scholars.lib.ntu.edu.tw/handle/123456789/562145
標題: | Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: Preliminary results | 作者: | Huang, Yu-Han KE-CHENG CHEN Lin, Sian-Han PEI-MING HUANG Yang, Pei-Wen JANG-MING LEE |
公開日期: | 2020 | 出版社: | European Association for Cardio-Thoracic Surgery | 卷: | 58 | 起(迄)頁: | I65-I69 | 來源出版物: | European Journal of Cardio-thoracic Surgery | 摘要: | OBJECTIVES: With the gradual acceptance of robotic-assisted surgery to treat oesophageal cancer and the application of a single-port approach in several abdominal procedures, we adopted a single-port technique in robotic-assisted minimally invasive oesophagectomy during the abdominal phase for gastric mobilization and abdominal lymph node dissection. METHODS: Robotic-assisted oesophagectomy and mediastinal lymph node dissection in the chest were followed by robotic-assisted gastric mobilization and conduit creation with abdominal lymph node dissection, which were performed via a periumbilicus single incision. The oesophagogastrostomy was accomplished either in the chest (Ivor Lewis procedure) or neck (McKeown procedure) depending on the status of the proximal resection margin. RESULTS: The procedure was successfully performed on 11 patients with oesophageal cancer from January 2017 to December 2018 in our institute. No surgical or in-hospital deaths occurred, though we had one case each of anastomotic leakage, pneumonia and hiatal hernia (9%). CONCLUSIONS: Robotic single-incision gastric mobilization for minimally invasive oesophagectomy for treating oesophageal cancer seems feasible. Its value in terms of perioperative outcome and long-term survival results awaits future evaluation. ? The Author(s) 2020. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089615878&doi=10.1093%2fejcts%2fezaa212&partnerID=40&md5=cb7e41ebb1a54bf7e54499fe84b0a115 https://scholars.lib.ntu.edu.tw/handle/123456789/562145 |
ISSN: | 1010-7940 | DOI: | 10.1093/ejcts/ezaa212 | SDG/關鍵字: | adult; anastomosis leakage; Article; clinical article; esophagogastrostomy; esophagus cancer; esophagus resection; female; hiatus hernia; hospital mortality; human; long term survival; lymph node dissection; male; mediastinum lymph node; middle aged; pneumonia; priority journal; retrospective study; robot assisted surgery; single incision gastric mobilization; stomach surgery; surgical margin; treatment outcome; esophagus tumor; laparoscopy; minimally invasive surgery; stomach; Esophageal Neoplasms; Esophagectomy; Female; Humans; Laparoscopy; Lymph Node Excision; Male; Middle Aged; Minimally Invasive Surgical Procedures; Robotic Surgical Procedures; Stomach |
顯示於: | 醫學系 |
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